Active NPI
Guadalupe A Cruz
- Sonography Radiologic Technologist
- Miami, FL
National Provider Identifier
1053492652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 80309
- Practice address
- 6850 Coral Way
Suite #204
Miami, FL 33155-1758 - Phone
- (786) 773-2558
- Fax
- (305) 728-0526
- NPI assigned
- Oct 18, 2006
- Last updated
- Dec 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 80309 | FL | Primary |
Addresses
Primary practice location
6850 Coral Way
Suite #204
Miami, FL 33155-1758
Mailing address
390 SE 9TH Ave
Hialeah, FL 33010-5530
Phone (786) 423-4580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80309 | Other | FL | RDMS, AB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80309 | FL | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1053492652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 SE 9TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330105530",
"telephone_number": "786-423-4580",
"fax_number": "305-594-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 CORAL WAY",
"address_2": "SUITE #204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331551758",
"telephone_number": "786-773-2558",
"fax_number": "305-728-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "GUADALUPE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "FL",
"license": "80309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDMS, AB",
"identifier": "80309",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.